Basic Information
| Provider Information | |||||||||
| NPI: | 1528500303 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BIERMAN ABA, INC. | ||||||||
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| OtherOrganizationName: | BIERMAN ABA AUTISM CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1025 E 54TH ST | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462203219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175845166 | ||||||||
| FaxNumber: | 3178153861 | ||||||||
| Practice Location | |||||||||
| Address1: | 145 ROSEMARY ST | ||||||||
| Address2: | SUITE K | ||||||||
| City: | NEEDHAM HEIGHTS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024943238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175845166 | ||||||||
| FaxNumber: | 3178153861 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2016 | ||||||||
| LastUpdateDate: | 11/10/2016 | ||||||||
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| AuthorizedOfficialLastName: | AGARWAL | ||||||||
| AuthorizedOfficialFirstName: | ADITYA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3175845166 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QD1600X | Y | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities |
ID Information
| ID | Type | State | Issuer | Description | BACB | 01 | MA | 1-08-4256 | OTHER |